Prediction of Chronic Pain in Cardiac Surgery: Evaluation by Algocartography

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Observational
SUMMARY

Sternotomy results in chronic postoperative pain in 30-55% of subjects. Few studies have been published on chronic pain in cardiac surgery, but there appears to be a relationship between the area of peri-scar hyperalgesia, which is indicative of postoperative hyperalgesia, and the occurrence of persistent pain 6 months after surgery. The aim of this study was therefore to assess whether the area of the postoperative hyperalgesia zone predicts chronic pain at 3 months post-surgery in cardiac surgery. To define the area of hyperalgesia at Day 2, pain mapping (algocartography) will be performed in patients who have had a sternotomy in cardiac surgery, together with pain assessment using the Simple Digital Pain Scale. Von Frey filaments of different sizes will be used for mapping. At Day 90, additional quality-of-life questionnaires will be carried out to check whether chronic pain is still present. A simple numerical scale (ENS) assessment at rest and during activity, and a record of pain-relieving treatments related to the surgery will also be carried out during this call. The investigators hypothesize that the area of the zone of hyperalgesia assessed at Day 2 predicts the occurrence of chronic pain at 3 months.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Scheduled surgery

• Conventional cardiac surgery by sternotomy: valve repair or replacement, coronary, thoracic aortic or combined surgery

• Age over 18

• No opposition from patient

• Patient affiliated to a social security

Locations
Other Locations
France
Service Anesthésie réanimation Hôpital Louis Pradel, Groupement Hospitalier Est Adresse 28 av. de Doyen Lépine 69677 BRON Cedex
RECRUITING
Bron
Contact Information
Primary
Judit JORDANA BOFILL, PI-nurse
judit.jordana-bofill@chu-lyon.fr
+33472357941
Backup
Matthias JACQUET-LAGREZE, Dr
matthias.jacquet-lagreze@chu-lyon.fr
+33472357941
Time Frame
Start Date: 2024-11-27
Estimated Completion Date: 2025-12-31
Participants
Target number of participants: 84
Treatments
Adult patients undergoing scheduled sternotomy cardiac surgery
Cohort, cardiac surgery patients who develop chronic pain Chronic post-surgical pain is defined as pain localized to the surgical site, with no other attributable cause, that persists for more than three months after surgery and has an impact on quality of life.
Related Therapeutic Areas
Sponsors
Leads: Hospices Civils de Lyon

This content was sourced from clinicaltrials.gov